Background to this inspection
Updated
17 December 2019
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was carried out by one inspector and one inspection manager.
Service and service type
Kingswood Lodge Care Centre is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We used the information the provider previously sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with 10 people who used the service and 11 members of staff, that included the registered manager, lead nurse, the cook, a catering assistant, a maintenance worker, a senior carer, the activities coordinator, an agency carer and three permanent care staff. We spoke with three relatives and friends of people who use the service. We reviewed a range of records. This included four people's care records and the services medication records. We looked at four staff files in relation to recruitment. A variety of records relating to the management of the service, including quality monitoring audits and maintenance records were reviewed.
Updated
17 December 2019
Kingswood Lodge Care Centre is a 'care home'. It is registered to provide accommodation and personal care and support for up to 40 older persons. The service provides long term and respite care. At the time of our inspection there were 25 people living at the service, some were living with dementia.
People's experience of using this service
People told us they felt safe. The service had systems and processes which ensured any concerns were reported to appropriate authorities without delay.
Risks to people's health and wellbeing had been assessed. There was guidance for staff on how to minimise risks to people. Staff had received training on how to safeguard people and were aware of the procedure to follow if they suspected that people were subject to abuse.
People received their medicines as prescribed. Staff had received medicines administration training and knew how to administer medicines safely. Lessons were learnt when things had gone wrong.
The premises were clean and tidy. There was a record of essential maintenance carried out. Fire safety arrangements were in place and equipment had been regularly serviced.
We spent time with people during our visits and feedback received from people living in the service was positive. We observed staff interacting with people and we saw that staff showed empathy and understood the needs of the people they supported. People said the service was of a good standard and that staff were kind. Managers and staff created a warm and relaxed environment.
Peoples healthcare needs had been assessed and continually reviewed. People were supported to access the services of healthcare professionals when needed. Peoples nutritional and hydration needs were met in line with their individual needs and preferences.
There were quality assurance systems in place to help monitor the quality of the service and identify any areas which might require improvement.
The registered manager was committed to developing a service where people received person-centred care. This was evident throughout our visit. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection:
The last rating for this service was Good (published 13 May 2017).
Why we inspected:
This was a planned inspection based on the previous rating.
Follow up:
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.